Abstract

Abstract Fresh citrated or EDTA plasma, saturated with soluble fibrin by incubating with traces of thrombin gelled upon the addition of ethanol at 20°C (‘the ethanol gelation test’). Upon ultracentrifuging a thin fibrinogen-fibrin film was obtained, which readily dissolved in 0.001 N NaOH, and in 1.5 M urea pH 8, indicating mainly non-covalent bonding. Clottability was about 95%. Regular polyacrylamide electrophoresis (4% gels) showed a major component with mobility equal to fibrinogen, and two slower moving components. Immunoprecipitation in the polyacrylamide gel demonstrated FR-antigens in all three components. SDS-gel electrophoresis (3.2% gels) in urea (5 M) disclosed the slower moving components of EDTA plasma to disappear, whereas those of citrated plasma persisted. Fibrinogen-fibrin films from a patient with an inhibitor (IgG) to FSF were similar to EDTA plasma. SDS-gel electrophoresis after reduction demonstrated that films from thrombin incubated citrated plasma, in addition to the A alfa, B beta and y-chains, contained y-y dimers, whereas this was not found in EDTA or FSF-inhibitor containing plasma. Molecular weight estimates (3.2% SDS), indicated that the first fibrinogen derived component had a molecular weight of 700.000, the second 1.000.000, the third 1.300.000, indicating dimers, trimers etc. N-terminal analysis of the films demonstrated a molar content of 2 tyrosine, 0.6 glycine and 1.1 alanine. Thus, FSF-stabilized, soluble, dimeric trimeric fibrin-(ogen)-fibrin complexes may exist in citrated plasma when the ethanol gelation test is positive.

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